IndividualActive
Kathleen Otten
NPI 1053800201 · Wound Care Registered Nurse · Tea, SD
Provider details
- NPI number
- 1053800201
- Entity type
- Individual
- Primary specialty
- Wound Care Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R018685 (SD)
Specialties & taxonomies
Nursing Service Providers
Practice location
131 N Poplar Ave
Tea, SD 57064-2152
Phone: (605) 498-2702
Fax: (605) 498-2702
Approximate (ZIP-level) locationGet directions
Mailing address
131 N Poplar Ave
Tea, SD 57064-2152
Registry dates
- Enumerated
- 2018-05-03
- Last updated
- 2018-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.